Provider Demographics
NPI:1700266111
Name:INNOVATIVE TRANSITIONAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INNOVATIVE TRANSITIONAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNULFO
Authorized Official - Middle Name:ANIVAL
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:956-605-4046
Mailing Address - Street 1:PO BOX 1046
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-1046
Mailing Address - Country:US
Mailing Address - Phone:956-605-4046
Mailing Address - Fax:956-383-6362
Practice Address - Street 1:4801 W STATE HIGHWAY 107 STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9426
Practice Address - Country:US
Practice Address - Phone:956-605-4046
Practice Address - Fax:956-383-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services